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FGL Environmental Doc ID: F3REC005.005 Revision Date:2113/09 Page: 1 of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: 1. Number of ice chests/packages received: 2. Were samples received in a chilled condition? Temps: I I I Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures must be documented below. If many packages are received at one time check for tests/H.T.'s/h shesBacti's to prioritize further review. Please notify Microbiology personnel immediately of bacn' m les received.. 3. Do the number of bottles received agree with the COC? No NIA 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) es No 5. VOAs checked for lieadspace? Yes No 6. Were sample custody seals intact? Yes No eA Sign and date the COC. place in a ziplock and put in the same ice chest as th sTv�l Sample Receipt Review completed by(initials): Sample Receipt at SP: f L 1. Were samples received in a chilled condition: Temps: Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/tvshesBacti's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. 2. Do the number of bottles received agree with the COC? bVes No N/A 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) es No 4. Were sample custody seals intact? a No NIA Sign and date the COC.obtain LIMS sample numbers,select methods/tests and print labels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's [D's? s No 3. Were all bottles requiring sample preservation properly preserved? No NIA FGL 4. VOAs checked for Headspace? No N/A S. Were all analyses within holding times at time of receipt? es No 6. Have rush or project due dates been checked and accepted? Yes No QA Attach labels to the containers and include a copy of the COC for lab delive Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any item above which are" o" r do not Meet specifications(i.e.temps)must be retsolved. 1. Person Contacted: 0 P vt Phone Numb r Initiated By. '1 Date: Problem: I� EX`�jS rad �U i YuGUc S G �3-11�4�) Resolution: 'di?li ' 011Ve �.,'IIIir�Jn.]'.it�? 1 , � /� G(:{�(�Gc c owtd ortin V